HomeMy WebLinkAboutF2022-0603 - Permit ApplicationWosr'ksheet for Fire POrmit Application
Please print 3 copies City of Newport Beach - Building Division
PC 2�
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Associated Building Permit #F-1 ?_�oRrr
_ f- Fire Sprinkler �7 Fire Alarm r, Fire Misc
1, Project Address (Not mailing address)
� � bC�/t✓ Jj_�� 7— Fll000�r` Suite No
Tenant Name Fw
# Units
Z. Description of Work
FE�M_0111
OP E)e_1IS1-1T-AC,
Usek iTr--
Extg Sq Ft New/Added Sq Ft r --- Valuation $ I t��
Total Sq Ft _j � ( � I
j' New ( Add [% Alter toV
Demo # Stories
Check Appropriate Box for Applicant/Notification ...
r 3. Owner's flame Last
_
Owner's Address First C;c�QM
Owner's E-mail Address
1 _ bovC sr, -r CZ - ----�
City - 9
State _
• _ GIB Zip 97vvlp
�f7 Telephone 9 ZE3
4, Architect/Designer's Name Last
First
Architect/Designer's Address Lic. No.
_�..__,••__,_ Architect/Designer's E-mail Address
City
State 1 zip F�� Telephone
5. Engineer's Name Last
1 First C _
Engineer's Address g Lic. No.
Engineer's E-mail Address
City
State �•••_ ____- - _`-_•_-__`
zip Telephone—______•.�_•_ _ _.•_.
F 6. Contractor's Name Last yST EM
C First H CT Lic. No. �`• _. _-__ __._
Contractor's Address i. '�J ClasC' ,
Contractor's E-mail Address
B�1G� city T
��T 1-b state r ` - -
�A Zip I �� ip i Telephone
@� (� •7773
OFFICE USE ONL Y
TYPE OF CONSTRUCTION PERMIT NO.
OCCUPANCY - GROUP PLAN CHECK N
---11�
PLAN CHECK FEE $